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General NPI Number Information
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NPI Number | 1629291612
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Entity Type | Individual
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Provider Name | LEON SULTAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 255 FRANKLIN AVE.
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City | FRANKLIN SQUARE
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State | NY
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Zip | 07740-1436
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Country | US
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Telephone | 516-354-0990
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Fax | 516-354-2838
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Provider Business Mailing Address
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Address Line | 110 NORWOOD AVE.
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City | ELBERON
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State | NJ
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Zip | 07740-8029
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Country | US
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Telephone | 732-728-1209
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 111932
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License Number State | NY
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